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Does Health Insurance Cover Multiple Sclerosis in India?

By Juhi Walia
17 October 2022, 12:45 PM

A vast population is suffering greatly from multiple sclerosis and other serious ailments as a result of people’s changing lifestyles. The daily activity of an individual’s life is hampered by multiple sclerosis, which interferes with the brain’s regular operations. It requires many treatment sessions to cure the life-threatening multiple sclerosis. This could result in large medical expenses, depleting the policyholders' money in the process. Multiple Sclerosis may not be covered under regular health insurance plans. However, the critical illness health insurance plans offered by several health insurance companies cover multiple sclerosis.

To ensure that the required condition or ailment has been covered by the insurer, policyholders should carefully examine the policy documents before purchasing health insurance plan. Health insurance policies for critical illnesses provide benefits for several medical conditions that the insurer has mentioned in the policy. Under this coverage, policyholders receive a lump sum payment from their plan to pay for both their medical bills and any lost income brought on by the treatment.  

Multiple Sclerosis in India

Multiple Sclerosis is an autoimmune complaint in which the immune system of the body damages the defensive layer of nerves called “ Myelin ”. Encephalomyelitis disseminate is the other name for multiple sclerosis. It affects the coordination of the body, as the neural network of the body gets disturbed. It damages the flow of information from the brain to the rest of the body. According to reports, two lakh people are affected by Multiple Sclerosis. 

It’s a progressive disease, which means it will get worse with time. Without proper treatment, it can take one into big trouble. It captures the whole body at a quick pace, so it is good to opt for treatment as soon as possible. But the major thing which pops out in the mind is the medication cost and how to manage it. Here, the necessity of insurance comes. But only opting for health insurance company cannot help you out. There are several factors that we need to look out for and opt for the best and apt health insurance plan within the budget.

Why Buy a Health Insurance Policy?

With the rise in the cost of living, being ill and not being able to work could cause a lot of financial stress. It assures you and your family a healthy future without having to worry about medical bills and hospitalisation expenses. Health insurance can help you. Although regular health insurance covers numerous medical scenarios, it may not offer coverage for multiple sclerosis disease. The cases of multiple sclerosis are adding in India so it's important to be financially shielded against it.

Read more - The Importance of Health Insurance On-time Renewal

How to Get Health Insurance for Multiple Sclerosis?

This question arises because most regular insurance doesn’t cover many multiple sclerosis diseases. In that case, we must go for a critical illness plan. We must check the benefits and amount that they are going to provide. Most of the plan has limited coverage and that may not be much helpful for a medical condition. It is really important to know the coverage amount you should opt for in a health insurance policy.. 

What Does a Critical Illness Plan Mean? 

The illness plan deals with the bulk amount as compared to your regular health insurance. Different diseases have different amounts, but this plan assures you will get a reasonable amount to deal with the disease. In what manner the amount has to be spent, is decided by the insured. The illness plan deals with the five lakh to fifty lakhs. This plan gives strong support to needy ones.

Read more - Homework to Do Before Choosing the Best Critical Illness Insurance Plan

A critical illness plan covers the following diseases in addition to multiple sclerosis

· Cancer

· Paralysis

· Heart attack

· Stroke

· Coronary artery bypass surgery

Why Opting Critical Illness Plan is Good for Multiple Sclerosis?

Day by day inflation rate is going higher and higher, so the living cost is also increasing. Illness and not being able to do your regular office work can cause a lot of stress and on top of that financial management gets worse due to the circumstances. Management is the only factor that can deal with such a situation. Going for a critical illness plan is the best step you can take. The plan gives you a reasonable amount for treatment and other expenses that occurs during the treatment. 

What Should You Consider Before Buying Critical Illness Insurance Plan?

  • Check the coverage of a critical illness plan. The amount should be high given the expenses involved in multiple sclerosis.
  • Check the premium amount of a critical illness plan and see its worth in terms of the coverage you receive.
  • Ensure the waiting period remains the shortest in your plan so that you could receive treatment quickly.
  • Critical illness plans often require policyholders to survive a certain period after getting diagnosed with a condition. It could be for a month or two.
  • Choosing an insurer with an extensive list of network hospitals helps you widen your choice for cashless treatment.

Conclusion

You could see how efficiently a critical illness plan covers multiple sclerosis. Ensure you grab the right plan with optimised premium and enhanced coverage to feel assured should you undergo hospitalisation due to multiple sclerosis. Remember, the coverage depends upon the certification of a medical practitioner confirming the diagnosis of multiple sclerosis.

FAQs

1. Does the indemnity plan work the same as the critical illness plan?

No, a critical illness plan is not like the indemnity plan. An indemnity plan reimburses you for the expenses incurred on the treatment, whereas a  critical illness plan allows you a fixed lump sum amount, regardless of the cost incurred on treatment.

2. What expense does the critical illness plan cover?

It will cover up most of the expenses like ICU charges, ambulance charges, daycare treatment, and many more. 

3. How to claim for the critical illness plan?

The regular health insurance plan renders you multiple claims but in the case of a critical illness plan, one doesn’t have a multiple claim option. As you share the diagnosis report, with the disease mentioned in the list, your claim gets verified and you get a one-time settlement of an average amount. After using your plan for such a disease, your plan gets void.

4. Any waiting period is required for critical to get active?

Yes, a waiting period is required for a plan to be active. The waiting period varies from one plan to another.

5. Can anyone buy a critical plan after being diagnosed with a certain critical illness?

You can buy a critical illness plan, but the said condition won’t get covered.

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